Search
Question
Pt with abdominal pain, nausea and vomiting. You ultrasound the intestines and find this:
Answer
The diagnosis is Intussusception.
Based on a recent systematic review and meta-analysis, POCUS has a sensitivity of 95.1% and a specificity of 98.1% for intussusception.
Ileocolic intussusception can appear as:
- a >2.5 cm “target” sign in short axis
- “sandwich” or pseudokidney sign in the long axis
References
Lin-Martore M, Boniface K. Gastrointestinal Ultrasound. In: Gottlieb M, Panebiano P, eds. Advanced Point-of-Care Ultrasound. Springer; 2025:193-214